Holly-May Lewis

Dr Holly-May Lewis


My publications

Publications

Matt Spick, Holly M. Lewis , Michael J. Wilde , Christopher Hopley, Jim Huggett , Melanie J. Bailey (2021)Systematic review with meta-analysis of diagnostic test accuracy for COVID-19 by mass spectrometry, In: Metabolism Elsevier

Background The global COVID-19 pandemic has led to extensive development in many fields, including the diagnosis of COVID-19 infection by mass spectrometry. The aim of this systematic review and meta-analysis was to assess the accuracy of mass spectrometry diagnostic tests developed so far, across a wide range of biological matrices, and additionally to assess risks of bias and applicability in studies published to date. Method 23 retrospective observational cohort studies were included in the systematic review using the PRISMA-DTA framework, with a total of 2 858 COVID-19 positive participants and 2 544 controls. Risks of bias and applicability were assessed via a QUADAS-2 questionnaire. A meta-analysis was also performed focusing on sensitivity, specificity, diagnostic accuracy and Youden’s Index, in addition to assessing heterogeneity. Findings Sensitivity averaged 0.87 in the studies reviewed herein (interquartile range 0.81 - 0.96) and specificity 0.88 (interquartile range 0.82 - 0.98), with an area under the receiver operating characteristic summary curve of 0.93. By subgroup, the best diagnostic results were achieved by viral proteomic analyses of nasopharyngeal swabs and metabolomic analyses of plasma and serum. The performance of other sampling matrices (breath, sebum, saliva) was less good, indicating that these protocols are currently insufficiently mature for clinical application. Conclusions This systematic review and meta-analysis demonstrates the potential for mass spectrometry and ‘omics in achieving accurate test results for COVID-19 diagnosis, but also highlights the need for further work to optimize and harmonize practice across laboratories before these methods can be translated to clinical applications.

Holly-May Lewis, Roger Webb, Guido F Verbeck, Josephine Bunch, Janella De Jesus, Catia Costa, Vladimir Palitsin, John G. Swales, Richard J. A. Goodwin, Patrick Sears, Melanie Jane Bailey (2019)Nanoextraction coupled to liquid chromatography mass spectrometry delivers improved spatially resolved analysis, In: Analytical Chemistry91(24)pp. 15411-15417 American Chemical Society

Direct analyte probed nanoextraction (DAPNe) is a technique that allows extraction of drug and endogenous compounds from a discrete location on a tissue sample using a nano capillary filled with solvent. Samples can be extracted from a spot diameters as low as 6 µm. Studies previously undertaken by our group have shown that the technique can provide good precision (5%) for analysing drug molecules in 150 µm diameter areas of homogenised tissue, provided an internal standard is sprayed on to the tissue prior to analysis. However, without an isotopically labelled standard, the repeatability is poor, even after normalisation to and the spot area or matrix compounds. By application to tissue homogenates spiked with drug compounds, we can demonstrate that it is possible to significantly improve the repeatability of the technique by incorporating a liquid chromatography separation step. Liquid chromatography is a technique for separating compounds prior to mass spectrometry (LC-MS) which enables separation of isomeric compounds that cannot be discriminated using mass spectrometry alone, as well as reducing matrix interferences. Conventionally, LC-MS is carried out on bulk or homogenised samples, which means analysis is essentially an average of the sample and does not take into account discrete areas. This work opens a new opportunity for spatially resolved liquid chromatography mass spectrometry with precision better than 20%.

Imesha De Silva, Amanda R Kretsch, Holly-May Lewis, Melanie Bailey, Guido Fridolin Verbeck (2019)True One Cell Chemical Analysis: A Review, In: The Analyst144pp. 4733-4749 Royal Society of Chemistry

The constantly growing field of the true one cell analysis provides important information on the direct chemical composition of various cells and cellular compartments. Since the heterogeneity of individual cells has been established, more researchers are interested in the chemical differences between individual cells and that is the only analysis of the one cell can determine. This results in new technologies and methods being reported regularly. This review highlights the common techniques of micro- and nanomanipulation, Raman spectroscopy, microsocopy, and mass spectrometric imaging as they pertain to the true one cell chemical analysis.